MEDICARE: MRS. AURELIA FAYE THORNE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1356010037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AURELIA FAYE THORNE

Provider Business Mailing Address
First Line	:	520 13TH AVE N
Second Line	:
City	:	BUHL
State	:	ID
Zip	:	83316-1515
Country	:	US
Telephone Number	:	208-308-0158
Fax Number	:

Provider Business Practice Location Address
First Line	:	1102 KENYON RD
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-5648
Country	:	US
Telephone Number	:	208-308-0158
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2021
Last Update Date	:	03/18/2026

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